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Text File  |  1993-10-10  |  3KB  |  82 lines
  1.  
  2.                     Shareware Registration Form
  3.                     ---------------------------
  4.  
  5.  
  6.  
  7. Please send registration fee to:
  8.  
  9.           Kurt Kellner
  10.           5313 S Tabor Way
  11.           Littleton CO 80127
  12.  
  13.           Make checks payable to Kurt Kellner.                   
  14.  
  15.  
  16. Company Name
  17. (if applicable):    __________________________
  18.  
  19.            Name:    __________________________
  20.  
  21.         Address:    __________________________
  22.  
  23.                     __________________________
  24.  
  25.    Phone Number:    (____)_____________
  26.  
  27.  ____________________________________________________________
  28. |                     |        |        |      |             |
  29. |Program Name         |Version |Price(1)|QTY   |Ext. Price   |
  30. |                     |        |        |      |(Price * QTY)|
  31. |---------------------+--------+--------+------+-------------|
  32. |                     |        |        |      |             |
  33. |                     |        |        |      |             |
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  46. |                     |        |        |      |             |
  47. |---------------------+--------+--------+------+-------------|
  48.                                |Total.......   |             |
  49.                                |-----------------------------|
  50.                                               
  51.  
  52.  
  53. (1) Refer to program documentation for discount pricing.
  54.  
  55.  
  56.  
  57. Please circle what operating system(s) you would like to see more
  58. utilities written on.
  59.  
  60.  
  61.      DOS ONLY            MS-WINDOWS          OS/2           UNIX
  62.  
  63.  
  64.  
  65.  
  66. Is there a program or utility that is currently unavailable or to
  67. expensive that you would like to see written as Shareware? (If so
  68. please describe.)
  69.  
  70.  
  71. _________________________________________________________________
  72.  
  73. _________________________________________________________________
  74.  
  75. _________________________________________________________________
  76.  
  77. _________________________________________________________________
  78.  
  79. _________________________________________________________________
  80.  
  81. _________________________________________________________________
  82.